ATI RN
ATI Nursing Proctored Pediatric Test Banks Questions
Question 1 of 5
Nurse Amy teaches a group of nursing students about the factors that cuses biliary cirrhosis. Which factor is associated with the condition?
Correct Answer: C
Rationale: Primary biliary cirrhosis, now known as primary biliary cholangitis, is a chronic autoimmune liver disease that affects the bile ducts within the liver. The main characteristic of this condition is progressive destruction of the small bile ducts, leading to chronic biliary inflammation or obstruction. This results in the buildup of bile in the liver, causing damage and scarring (cirrhosis) over time. Factors such as acute viral hepatitis (choice A), alcohol hepatotoxicity (choice B), and hepatic failure with prolonged venous hepatic congestion (choice D) are associated with other liver conditions, but they are not specifically linked to primary biliary cholangitis.
Question 2 of 5
A 14-year-old boy and his parents are concerned about bilateral breast enlargement. The nurse's discussion of this should be based on which statement?
Correct Answer: A
Rationale: The correct statement is that bilateral breast enlargement in a 14-year-old boy is usually benign and temporary. This condition, known as gynecomastia, is commonly seen during puberty due to hormonal changes. It typically resolves on its own without the need for intervention. It is important for the nurse to reassure the boy and his parents that this is a normal occurrence and should not be a cause for major concern. It is crucial to address any underlying anxieties and provide education on the natural course of puberty-related changes.
Question 3 of 5
The nurse is assigned to care for a postoperative client who has diabetes mellitus. During the assessment interview, the client reports that he's impotent and says he's concerned about its effect on his marriage. In planning this client's care, the most appropriate intervention would be to:
Correct Answer: D
Rationale: Suggesting a referral to a sex counselor or other appropriate professional would be the most appropriate intervention in this case. Impotence or erectile dysfunction can have significant emotional and psychological implications, especially in the context of a marital relationship. A sex counselor or therapist who specializes in sexual health can provide the necessary support, guidance, and strategies to help the client and his spouse navigate this issue effectively. This intervention is aimed at addressing the client's concerns about impotence, its impact on his marriage, and ultimately promoting holistic well-being.
Question 4 of 5
A 10 years old girl presented with fever and bruises for last 2 weeks. On examination she is pale; however there is no evidence of lymphadenopathy or hepatosplenomegaly. Her Hb is 6g/dl, TLC is 2700 and platelets are 90000. The most appropriate investigation to clinch the diagnosis is:
Correct Answer: A
Rationale: Bone marrow aspiration is essential to rule out conditions like aplastic anemia or leukemia, which could explain the symptoms and lab findings.
Question 5 of 5
The client is suspected of having myasthenia gravis. Edrophonium (Tensilon) 2 mg is administered intravenously to determine the diagnosis. Which of the following indicates that the client has myasthenia gravis?
Correct Answer: D
Rationale: Edrophonium (Tensilon) is a short-acting cholinesterase inhibitor used in the Tensilon test to aid in the diagnosis of myasthenia gravis. In patients with myasthenia gravis, there is a deficiency of acetylcholine at the neuromuscular junction, leading to muscle weakness. By inhibiting the breakdown of acetylcholine, edrophonium temporarily increases the availability of acetylcholine at the neuromuscular junction.